RUSSELL HOLLIS (NPI# 1174989065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174989065 |
| Entity Type | Individual |
| Full Name | RUSSELL HOLLIS |
| Credential | M.ED., LPC |
| Practice Address |
4951 Central Ave Monroe LA 71203-6156 |
| Mailing Address |
117 Garden Park Dr Monroe LA 71202-5121 |
| Practice Telephone | 3183401535 |
| Practice Fax Number | 3183401539 |
| Mailing Telephone | 3186002006 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4872 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384101 | Russell James Hollis | Student in an Organized Health Care Education/Training Program | 27005 76th Ave Bldg C, New Hyde Park, NY 11040-1402 | 2020-04-04 |
| Street Address |
4951 CENTRAL AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71203-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689984866 | Kymberly Yvette Bradford | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2010-10-20 |
| 1346856309 | Victoria Renea Bradshaw | Case Manager/Care Coordinator | 4951 Central Ave, Monroe, LA 71203-6156 | 2020-09-16 |
| 1215562954 | Angelle Verne' Antwine | Case Manager/Care Coordinator | 4951 Central Ave, Monroe, LA 71203-6156 | 2020-03-03 |
| 1316500747 | Brittany Galloway | Case Manager/Care Coordinator | 4951 Central Ave, Monroe, LA 71203-6156 | 2019-04-22 |
| 1295207819 | Latoya Jackson | Marriage & Family Therapist | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-12-20 |
| 1245702166 | Bryana Buie | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-12-18 |
| 1740786037 | Talia Millage | Counselor | 4951 Central Ave, Monroe, LA 71203 | 2018-04-04 |
| 1912403619 | Constance Michelle Clark | Counselor | 4951 Central Ave, Monroe, LA 71203 | 2018-04-02 |
| 1609375278 | Dawanna Kaye Dean | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-02-08 |
| 1609384809 | Sierra C Evans | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902060 | Lisa Tolmich Haughey | Counselor | 2658 Sleepy Hollow Rd, Monroe, GA 30655-5584 | 2020-04-28 |
| 1487280764 | Hope and Purpose Counseling LLC | Counselor | 204 S Macomb St, Monroe, MI 48161-2121 | 2020-03-18 |
| 1154956688 | Joseph Danso Manu | Counselor | 115 E Fambrough St Apt 123b, Monroe, GA 30655-2858 | 2020-03-05 |
| 1699314997 | John Samaha | Counselor | 1518 11th St Ste 1-4, Monroe, WI 53566-1701 | 2020-01-03 |
| 1760039549 | Tom Wayne Triplett | Counselor | 2321 Highway 80 East, Monroe, LA 71203-7120 | 2019-08-26 |
| 1881255347 | Elnita Totarsha Ottey | Counselor | 2908 Eagle View Ln, Monroe, NC 28110-6315 | 2019-06-25 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1841774056 | Life Healing Therapy, LLC Lauren M Fontana Sole Mbr | Counselor | 324 Elm St Ste 105b, Monroe, CT 06468-2283 | 2018-09-24 |
| 1477030310 | Oscar Kelly | Counselor | 111 E 1st St Ste 200, Monroe, MI 48161-2265 | 2018-07-24 |
| 1972090413 | Sharyn Stokes | Counselor | 116 E Phifer St, Monroe, NC 28110-3035 | 2018-04-19 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.